Individual
DAISY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 AVENUE U, BROOKLYN, NY 11223-5019
(516) 344-9731
Mailing address
462 S LONG BEACH AVE, FREEPORT, NY 11520-5514
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
349386
NY
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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